{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:41:48Z","timestamp":1761676908906,"version":"build-2065373602"},"reference-count":19,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2020,6,18]]},"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Regional anesthesia is becoming increasingly used for analgesia in clavicular surgery. The purpose of the study is to examine same-day discharge and readmissions in patients with clavicular fractures receiving open reduction and internal fixation, comparing those who received regional anesthesia to those that did not.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The National Surgical Quality Improvement Program registry was used to build a retrospective cohort with the primary and secondary outcomes of same-day discharge and readmission rates, respectively. The independent variable was type of anesthesia (ie, regional vs general). Unadjusted univariable followed by multivariable logistic regression analysis for the association of each covariate with the primary and secondary outcome was performed. A p&lt;0.05 was considered statistically significant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 2300 patients were included, in which 346 (15.0%) of received a nerve block. The only factor associated with same-day discharge on crude analysis was the use of a nerve block (OR 1.70, 95% CI 1.21 to 2.40, p&lt;0.01). Factors not associated with same-day discharge included geriatric age (OR 0.39, 95% CI 0.26 to 0.57, p&lt;0.01), diabetes mellitus (OR 0.54, 95% CI 0.33 to 0.89, p=0.01), dependent functional status (OR 0.27, 95% CI 0.11 to 0.69, p&lt;0.01), hypertension (OR 0.39, 95% CI 0.29 to 0.52, p&lt;0.01), bleeding disorder (OR 0.24, 95% CI 0.10 to 0.59, p&lt;0.01) and an American Society of Anesthesiologists Physical Status score \u22653 (OR 0.33, 95% CI 0.25 to 0.45, p&lt;0.01). On adjusted analysis, regional anesthesia was associated with increased odds of same-day discharge (OR 1.67, 95% CI 1.18 to 2.37, p&lt;0.01), but not 30-day readmission (OR 0.57, 95% CI 0.13 to 2.52, p=0.46).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Regional anesthesia use in patients with clavicular fractures is associated with higher odds for same-day discharge. There is no significant difference in the rates of hospital readmission within a 30-day period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence<\/jats:title>\n                  <jats:p>IV, retrospective case series.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rapm-2020-101567","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T02:15:26Z","timestamp":1595470526000},"page":"716-719","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Utilization of regional anesthesia for open reduction and internal fixation of clavicular fractures is associated with increased same-day discharge and not readmissions"],"prefix":"10.1136","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0519-4222","authenticated-orcid":false,"given":"Alexander","family":"Beletsky","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, San Diego, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-2480","authenticated-orcid":false,"given":"Brittany Nicole","family":"Burton","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of California Los Angeles, Los Angeles, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew W","family":"Swisher","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of California, San Diego, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J","family":"Finneran IV","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of California, San Diego, La Jolla, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4443-0021","authenticated-orcid":false,"given":"Rodney Allanigue","family":"Gabriel","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of California, San Diego, La Jolla, California, USA"},{"name":"Department of Medicine, Division of Biomedical Informatics, University of California San Diego, La Jolla, CA, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,22]]},"reference":[{"key":"2025101110540230000_45.9.716.1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000012"},{"key":"2025101110540230000_45.9.716.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2008.05.006"},{"key":"2025101110540230000_45.9.716.3","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02795"},{"key":"2025101110540230000_45.9.716.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.01.001"},{"key":"2025101110540230000_45.9.716.5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.00020"},{"key":"2025101110540230000_45.9.716.6","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000057"},{"key":"2025101110540230000_45.9.716.7","unstructured":"AT G . Atlas of ultrasound-guided regional anesthesia. 2nd ed. Saunders, 2012."},{"key":"2025101110540230000_45.9.716.8","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000061"},{"key":"2025101110540230000_45.9.716.9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2018\/7842128","article-title":"Ultrasound-Guided combined interscalene-cervical plexus block for surgical anesthesia in clavicular fractures: a retrospective observational study","volume":"2018","author":"Balaban","year":"2018","journal-title":"Anesthesiol Res Pract"},{"key":"2025101110540230000_45.9.716.10","first-page":"265","article-title":"Regional anaesthesia in clavicle surgery","volume":"56","author":"Shrestha","year":"2017","journal-title":"JNMA J Nepal Med Assoc"},{"key":"2025101110540230000_45.9.716.11","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.ijoa.2013.10.004","article-title":"Combined interscalene-superficial cervical plexus blocks for surgical repair of a clavicular fracture in a 15-week pregnant woman","volume":"23","author":"Vandepitte","year":"2014","journal-title":"Int J Obstet Anesth"},{"key":"2025101110540230000_45.9.716.12","article-title":"Demographic and clinical factors associated with same-day discharge and unplanned readmission following shoulder arthroplasty: a retrospective cohort study","author":"Burton","year":"2020","journal-title":"Korean J Anesthesiol"},{"key":"2025101110540230000_45.9.716.13","first-page":"374","article-title":"Combined interscalene brachial plexus and superficial cervical plexus nerve block for midshaft clavicle surgery: a case series","volume":"87","author":"Fugelli","year":"2019","journal-title":"Aana J"},{"key":"2025101110540230000_45.9.716.14","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/aer.AER_185_18","article-title":"Ultrasound-Guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery: a comparative analysis","volume":"13","author":"Banerjee","year":"2019","journal-title":"Anesth Essays Res"},{"key":"2025101110540230000_45.9.716.15","first-page":"53","article-title":"The PecS II block as a major analgesic component for clavicle operations: a description of 7 case reports","volume":"65","author":"Schuitemaker R","year":"2018","journal-title":"Rev Esp Anestesiol Reanim"},{"key":"2025101110540230000_45.9.716.16","first-page":"19","article-title":"Ultrasound-Guided placement of combined superficial cervical plexus and selective C5 nerve root catheters: a novel approach to treating distal clavicle surgical pain","volume":"81","author":"Kline","year":"2013","journal-title":"Aana J"},{"key":"2025101110540230000_45.9.716.17","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1213\/ANE.0000000000002188","article-title":"Hospital-based acute care within 7 days of discharge after outpatient arthroscopic shoulder surgery","volume":"126","author":"Liu","year":"2018","journal-title":"Anesth Analg"},{"key":"2025101110540230000_45.9.716.18","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000325"},{"key":"2025101110540230000_45.9.716.19","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1097\/ALN.0000000000002865","article-title":"Peripheral nerve blocks for ambulatory shoulder surgery: a population-based cohort study of outcomes and resource utilization","volume":"131","author":"Hamilton","year":"2019","journal-title":"Anesthesiology"}],"container-title":["Regional Anesthesia &amp; Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/rapm-2020-101567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:54:09Z","timestamp":1760205249000},"score":1,"resource":{"primary":{"URL":"https:\/\/rapm.bmj.com\/lookup\/doi\/10.1136\/rapm-2020-101567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,22]]},"references-count":19,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2020,8,20]]},"published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1136\/rapm-2020-101567"],"URL":"https:\/\/doi.org\/10.1136\/rapm-2020-101567","relation":{},"ISSN":["1098-7339","1532-8651"],"issn-type":[{"type":"print","value":"1098-7339"},{"type":"electronic","value":"1532-8651"}],"subject":[],"published":{"date-parts":[[2020,7,22]]}}}